Banayat, Geronimo

Banayat, Geronimo is an sole proprietor health care provider with primary practice located at 29 Broadway , Clark NJ 07066-2557. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Banayat, Geronimo can be contacted via phone (732) 574-1887.

Contact Information

Primary practice address
29 Broadway Clark NJ 07066-2557
Phone: (732) 574-1887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA51978 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA51978 New Jersey

Profile Details

NPI number 1376620500
LBN Legal business name Banayat, Geronimo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Feb 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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